Random Topics Flashcards
Condition that causes leukopenia, specifically neutropenia
Felty syndrome as a part of Rheumatoid Arthritis
Anxiety causing hyperventilation leading to respiratory alkalosis can cause symptoms such as
“stocking glove paresthesia”, numbness/tingling in hands/feet, may cause
Treatment: calm patient, correct hyperventilation
When calculating total body surface area of burns, you do not include:
First degree burns
When a patient is exposed to tetanus, you must treat with:
Tetanus Immune Globulin (TIG) 250 U for immediate danger and Tdap 0.5 cc for long term coverage
Td booster every 10 years
Recent head injury, with low urine specific gravity ~1.000, and normal glucose reveals a diagnosis of:
Diabetes Insipidus
Cause of hyponatremia, hyperkalemia, low glucose is a constellation of what disorder:
adrenocorticol insufficience
An important complication of inadequately treated hyponatremia would be:
cerebral edema
Milk-alkali syndrome is caused by:
use of antacids for osteoporosis leading to hypercalcemic nephropathy. Symptoms include constipation, polyuria, and hypercalcemia.
First line treatment: stop antacids
Non-Hodgkins lymphoma characteristic
Painless lymphadenopathy
What type of cells are present in Hodgkins lymphoma?
Reed-sternberg cells
What is present in myeloblastic leukemia that is not present in lymphoblastic leukemia?
Philadelphia chromosomes
Treatment of Uremia-induced coagulopathy
DDAVP
Disseminated intravascular coagulation S/S
bleeding or clotting
hemostasis disturbances, easy bruising and petechiae on mucosal membranes
thrombocytopenia, hypofibrinogenemia, decreased RBC, increased fibrin degradation, prolonged PT and PTT
Infection and sepsis predispose to DIC
Diagnosis of sickle cell anemia
Hgb electrophoresis
Sickledex can identify sickle cell trait/anemia, but does not differentiate between the two
When to transition a DKA patient from IV insulin to SSI
When glucose 15
venous pH >7.3
Instrumental ADLs include
Activities that people do once they are up, dressed, put together. These tasks support an independent life style. Many people can still live independently even though they need help with one or two of these IADL’s. Including: cooking driving using the telephone or computer shopping keeping track of finances managing medication
ADLs
Activities of daily living are the tasks that are required to get going in the morning:
- walking
- bathing
- dressing
- toileting
- brushing teeth
- eating
Type of Dialysis that does not remove toxins from the blood
Dry ultrafiltration
Indications to Change anti-retroviral therapy in AIDS
- Decrease in 25% of CD4 count despite 6 months of therapy
- Viral Load increase or above 10K despite treatment therapy for last 6 months
- Opportunistic Infection
Goal of HIV therapy
Immune Reconstitution
Immune Reconstitution Inflammatory Syndrome (IRIS) or Immune Recovery Syndrome
The immune system begins to recover, but then responds to a previously acquired opportunistic infection with an overwhelming inflammatory response that paradoxically makes the symptoms of infection worse
At risk: AIDS patients, first HAART therapy (typically 1-3 months after the start)
Most common pathogens: M. tuberculosis and Cryptococcal meningitis; MAY DELAY TREATMENT WITH THESE ORGANISMS DUE TO INCIDENCE OF IRIS
Make sure this is not just a bad infection
Treatment- supportive and treat underlying infection
Self-Management must include
- Basic information about their disease
- Understanding of an assistance with self-management skill building
- Ongoing support from members of the practice team, family, friends, and community
Includes: medical, role, and emotional management
NOT FINANCIAL
Six Sigma
Quality improvement plan characterized by limiting variability and removing defects in a process
Complementary therapy included in TPN to reduce length of stay
Fish Oil (Put in Lipids)
